NDIS FAQS

What is the NDIS?

Who is eligible for the NDIS?

When will the NDIS be rolled out in Queensland, and in Brisbane?

How can Parents and Carers be involved in the NDIS planning process?

What services and supports will Kyabra offer under the NDIS?

How will my funding be managed?

Who will conduct my planning meeting?

Where will my planning meeting be held?

Who can attend the planning meeting with me?

What happens if my funds run out - can I get more funding if I need it?

How often are the NDIS plans reviewed and by whom?

Will the mobility allowance still be paid?

What is transport funding?

Will NDIS fund communication aids?

Will NDIS fund medical aids & equipment?

Can I use my NDIS funds to pay the gap for Medicare services?

I was told I must use the 10 free Medicare psychologist sessions in the mental health plan my GP created for me before I can access my NDIS funded supports to see a psychologist. Is this correct?

Can I claim the gap from private health insurance for allied health services from my plan?

How can my General Practitioner (GP) help me with my access to the NDIS?  

Can you employ a family member as a Support Worker? 

Does the NDIS Plan include respite?

Will the Participant and/or the Nominee receive a regular statement of there NDIS funds?

Can Kyabra provide advice to the NDIA on potential changes to a Participant’s budget, at the annual review?

Are all Kyabra charges strictly in accordance with the NDIA approved charges?

Is there a formal agreement that will need to be signed with Kyabra by both parties prior to commencing the service?

 

What is the NDIS?

The National Disability Insurance Scheme (NDIS) will provide all Australians under the age of 65 who have a permanent and significant disability with the reasonable and necessary supports they need to enjoy an ordinary life. The NDIS will help people with disability achieve their goals. This may include greater independence, community involvement, employment and improved wellbeing. It will take a lifetime approach, investing in people with disability early to improve their outcomes later in life.The NDIS also provides people with disability, their family and carers with information and referrals to existing support services in the community.

Who is eligible for the NDIS?

There are a number of factors which determine whether you are eligible for support under the NDIS when it rolls.You may be eligible to receive an individual support plan if:

  • Have a permanent impairment that significantly affects your ability to take part in everyday activities, or have a developmental delay
  • Be aged less than 65 when you first apply to enter the NDIS;
  • Be an Australian citizen or hold a permanent visa or a Protected Special Category visa

If you currently receive disability services you will be contacted by the National Disability Insurance Agency before your area transitions.

 

When will the NDIS be rolled out in Queensland, and in Brisbane?

The roll-out in Queensland began on 1 July 2016 in the Townsville region. The NDIS will commence roll-out on 1 July 2018 in Brisbane, and participants are able to check their eligibility from 6 months prior.

 

How can Parents and Carers be involved in the NDIS planning process?

The NDIS planning process can include a Carer Statement, which outlines your ability to care and to sustain your caring role. The Carer Statement is not part of the formal process, however will be taken into consideration in the planning process with the NDIA Planner. Resources are available to help you prepare your Carer Statement.

 

What services and supports will Kyabra offer under the NDIS?

Kyabra offers a range of supports and services as a registered NDIS Provider, and we work alongside NDIS Participants and their families to ensure their goals are being met. 

Our services are:

  • Support Worker Services
  • Support Coordination
  • Plan Management 
  • Carer Support

How will my funding be managed? 

There are fours ways that plans can be managed.

  1. Agency Managed – this is where the providers claim directly from the NDIA.
  2. Plan Managed – funding in your plan is allocated to a third party to manage the financial transactions in your plan.
  3. Self Managed – you (or your nominee) directly manage the funds; all transactions are completed by the participant for services rendered.
  4. Combination – a combination of the above three options can be used together to meet your individual needs.

Who will conduct my planning meeting? 

This varies from location to location. Planning meetings can either be conducted by a National Disability Insurance Agency (NDIA) Planner, or through a Local Area Coordinator (LAC). LACs are sometimes NDIA staff and they sometimes work for not for profit organisations on behalf of the NDIA. If it’s an NDIA Planner, they will usually be the ones who develop the plan. If it’s an LAC they usually gather the information for the NDIA Planner who will then finalise it.

 

Where will my planning meeting be held?

You will likely be contacted by phone initially to arrange your meeting time but the NDIA has said that, based on feedback from participants, the planning meeting itself will take place face-to-face. 

 

Who can attend the planning meeting with me?

You can take along anyone you choose, whether it be a friend or family. You can also have a Kyabra member of staff attend with you, if you wish (please notify them once you receive a plan date so they can ensure they are available to attend with you).

 

What happens if my funds run out - can I get more funding if I need it?

The NDIA will approve a funding plan for a 12 month period based on the participant’s expressed needs. The use of these funds will still need to be managed to ensure keeping within the approved budget. However, if circumstances change and extra funding is required, NDIA can be contacted to request a review of your plan to ensure you have the funding you need.

 

How often are the NDIS plans reviewed and by whom?

NDIS plan is reviewed annually by the National Disability Insurance Agency (NDIA).

 

Will the mobility allowance still be paid?

No, mobility allowance will cease and be replaced with transport assistance from NDIS. 

When your plan is approved, the NDIA will notify Centrelink and your Mobility Allowance will be cancelled. It is therefore important you include all transport-related supports in your plan.

Your Mobility Allowance will continue until you receive NDIS funding.

 

What is transport funding?

A participant will generally be able to access funding through the NDIS for transport assistance if the participant cannot use public transport without substantial difficulty due to their disability. Funding takes into account any relevant taxi subsidy scheme, and it does not cover transport assistance for carers to transport their family member with a disability for everyday commitments.

Three new participant transport support levels:

Level 1 - The NDIS will provide up to $1,606 per year for participants who are not working, studying or attending day programs but are seeking to enhance their community access.

Level 2 - The NDIS will provide up to $2,472 per year for participants who are currently working or studying part-time (up to 15 hours a week), participating in day programs and for other social, recreational or leisure activities.

Level 3 - The NDIS will provide up to $3,456 per year for participants who are currently working, looking for work, or studying, at least 15 hours a week, and are unable to use public transport because of their disability.

Exceptional circumstances: participants may receive higher funding if the participant has either general or funded supports in their plan to enable their participation in employment.

 

Will NDIS fund communication aids?

Yes, NDIS will fund therapeutic supports including communication aids that assist participants to participate in everyday activities and be more independent in their daily life.

 

Will NDIS fund medical aids & equipment? 

Yes, aids and equipment for personal care or safety including beds and pressure mattresses, toilet and bathroom equipment, specialised clothing, continence needs and home enteral nutrition equipment will be funded by NDIS. 

 

Can I use my NDIS funds to pay the gap for Medicare services?

No. The NDIS is not designed to fund supports more appropriately funded or provided by the health system. You cannot use your NDIS funds to pay Medicare gap fees. As an NDIS participant, you cannot claim under both systems for the same support. The NDIS Act and Rules provide guidance for what is funded under the Scheme. Basically, a support the NDIS pays for is not claimable against any other Commonwealth Program such as Medicare.

 

I was told I must use the 10 free Medicare psychologist sessions in the mental health plan my GP created for me before I can access my NDIS funded supports to see a psychologist. Is this correct?

No, this is not correct. The NDIA develops and approves plan budgets to cover the full cost of supports, for example, psychology services, where they are considered reasonable and necessary for a participant.

The decision as to what capacity building supports or therapy would be deemed reasonable and necessary takes into account the responsibilities of the health system and services already available to the participant.

Once plan supports are approved, the participant can use those supports as described in the plan. Therapy may be described generally (e.g. "Therapy up to the value of $X") in a budget so it can be used flexibly within that budget or it may be described specifically (for example, 1 session of psychology/therapy per week).

 

Can I claim the gap from private health insurance for allied health services from my plan?

NDIA plan budgets are developed to cover the full cost of supports (e.g. physiotherapy or OT services to build function) where these are considered reasonable and necessary for the participant. As a result, you should not have to pay a "gap" fee.

Participants should not make claims under private health insurance policies for 'reasonable and necessary' supports in their plan they intend to claim from the NDIS. Participants may choose to use private health insurance to fund services and treatments not funded in their NDIS plan.

In rare cases, where a support being delivered may be claimable under either the participant's plan or private health insurance, the participant may choose whether to use NDIS funds or to make a claim under their private health insurance but they cannot make a claim under both in respect to the same support.

 

How can my General Practitioner (GP) help me with my access to the NDIS?  

Your GP may be able to assist you by filling out your NDIS Access Request form and by providing supporting evidence. You will need to contact your GP to find out specifically how they could assist you. General information can be found in the NDIS Factsheet: A GP & Allied Health Professional’s guide to the NDIS

 

Can you employ a family member as a Support Worker? 

No. NDIS funded supports do not replace the role of families and carers. This means a family member won't be paid for acting as a Support Worker to another family member with disability, except where it has been approved for a strict time-limit due to proof of exceptional circumstances.

 

Does the NDIS Plan include respite?

The NDIS Plan can include provision for ‘short- term accommodation and assistance’, in recognition that Participants may require temporary supports that are different from their usual arrangements. These are non-typical days and may include short stays in a group-based facility (short term accommodation), or the purchase of additional in-home support. Typically, this type of support would be used for short periods of up to 14 days at a time. For longer term arrangements, other options are likely to be more appropriate (e.g. Supported Independent Living).

 

Will the Participant and/or the Nominee receive a regular statement of there NDIS funds?

Participants can access the NDIS portal on the NDIS website using your unique NDIS Participant Number, and that will show you the funds that have been drawn down on the NDIS Plan.

 

Can Kyabra provide advice to the NDIA on potential changes to a Participant’s budget, at the annual review?

All Providers who provide support under an NDIS plan are expected to contribute information for the annual plan review, which includes consideration of how the person has moved towards the goals in the their plan. Your Support Coordinator or Local Area Coordinator (LAC) is involved in the annual review and part of their role is to ensure that all the Participant and Family are happy with the Providers and the level of support in the current Plan, and will work with the Participant and Family around what may need to change in the subsequent NDIS plan.

 

Are all Kyabra charges strictly in accordance with the NDIA approved charges?

Kyabra will be using the NDIS Qld Price Guide for all charges under NDIS. 

 

Is there a formal agreement that will need to be signed by both parties prior to commencing the service?

Yes. Kyabra has a Service Agreement for Support Coordination, Plan Management and Support Worker Services under NDIS, and these are signed by the Participant/Nominee and Kyabra CEO.